NATIONAL ASSOCIATION OF PHARMACOLOGY AND THERAPEUTICS

NOTE

1. All student members can upgrade to life membership on payment of Rs 500 INR within 3.5 years of date of admission in MD Pharmacology course irrespective of date of application

2. e-certificate will also be delivered on the e-mail provided by the applicant.

3. No hard copy for student membership (Hard copy shall be provided for permanent membership)

STUDENT MEMBERSHIP OF ASSOCIATION

A post graduate medical student persuing i.e.MD/DNB in Pharmacology/Clinical pharmacology & therapeutics) from a recognized medical institution shall be eligible to become the student member of the organization.

BENEFITS OF STUDENT MEMBERS

a) All student members shall be entitled to receive notifications on behalf of the organization.
b) All student members will be able to get the various advantages of networking with fellow pharmacologists of the country.
c) Student can use the student membership certificate in their PG log book as an evidence to be affiliated with a professional organization and its academic activities.
d) Selected student members shall be entitled to be a part of editorial board of National Journal of Pharmacology and Therapeutics.
e) All student members shall receive a soft copy of the student membership certificate through email within 30 days of application.
f) All student members can upgrade to life membership on payment of Rs 500 INR within 3.5 years of date of admission in MD Pharmacology course irrespective of date of application.
g) All student members shall be able to participate in various conferences/seminars/workshops/symposiums/training sessions and other events organized by the association at subscribed charges.
h) All student members will be entitled to receive a soft copy of the official newsletter and/or other academic printed material of the organization.

DOCUMENTS REQUIRED

1. Passport size photo.
2. A Duly filled & submitted PG student membership form.
3. A copy of LOR (letter of recomendation by HOD/Research guide of student pharmacology & therapeutics faculty).Download Proforma

DETAILS OF STUDENT MEMBERSHIP FEE

Categories	Fee
Indian nationals (Student Membership)	2500 (Two thousand)INR

Note : All student members can upgrade to life membership on payment of Rs 500 INR within 3.5 years of date of admission in MD Pharmacology course irrespective of date of application

INSTRUCTION FOR APPLYING THE ONLINE STUDENT MEMBERSHIP

All payment to be done via online mode (No payment by Cheque/DD)
Keep a copy of your recent passport size photograph/image of payment receipt and LOR (letter of recomendation by HOD/Research guide of student pharmacology & therapeutics faculty).
Attach recent passport size photo (jpg/png<500kb) and self-attested photocopy LOR (letter of recomendation by HOD/Research guide of student pharmacology & therapeutics faculty) (pdf/jpg/png < 2mb) in online student membership form.
Look carefully all the details and any correction in spelling or data entry before final submission the form online.
Online form for membership is available at the end of this page.
In case of difficulty for applying membership contact via WhatsApp/Telegram or call National Coordinator 9528540756.

Personal Information

Name*

Print Name* ( As you wish to appear in certificate) Note : Please don't write prefix such as Dr./ Mr./ Mrs./ Prof.

Sex*

Date of Birth (DD/MM/YYYY)*

Working Information

Current Designation*

Current Institution/Organization/Company (Name / Complete Address / State / Pin Number)*

Current Department/Speciality*

Date of admission in postgraduate (MD/DNB) course (As per records in Letter of recommendation by HOD/Research guide)**

Contact Information

Current Correspondance Address (where membership certificate to be delivered)*

State*

Pin*

E-Mail*

Mobile Number*

Academics Information

Academics Qualification Details (MBBS is mandatory to apply)*

Name of Regulatory Body (With which MBBS degree is registered)*

R No. of MBBS / Equalent UG Medical Degree*

Date of Registration (DD/MM/YYYY)*

Upload Documents

Upload LOR (letter of recomendation by HOD/Research guide of student )*(Only jpg upto 2mb)

Upload passport sized Photo*(Only jpg upto 2mb)

* All the information given herewith by me is true to the best of my knowledge and in case of any discrepancies I will be liable to actions as per rules of association. I will abide by the rules and regulations of national association of pharmacology and therapeutics.

ADDRESS FOR CORRESPONDENCE VIA COURIER, SPEEDPOST OR REGISTERED POST
National Association of Pharmacology & Therapeutics
ALMERAJ HOPSPITAL Deepshikha Gas Agency Street Bajoria Road
Saharanpur Uttar Pradesh 247001 Ph 9528540756